PA Lawmakers Pass Bill Regulating PBMs The Pennsylvania legislature passed a bill ( HB 1993 ) aimed at increasing oversight of pharmacy benefit managers. If signed by Gov. Josh Shapiro (D), the measure would prohibit PBMs from requiring patients to use a PBM...
Guide your healthcare provider clients through key legal and operational considerations to avoid exclusion from participation in Medicare, Medicaid, and other government-funded healthcare reimbursement programs. Use this checklist to advise healthcare providers...
Understand how healthcare facilities may be found liable for the acts of their non-employed attending physicians under a theory of apparent or ostensible agency. Learn how courts have found that a physician, although technically an independent practitioner, has...
Review this practice note from Akerman LLP partners Elizabeth F. Hodge and Jordan T. Cohen to understand how healthcare organizations leverage the value of the individually identifiable health data in their possession for various purposes (e.g., to improve patient...
Expand your organization’s compliance policy library with this template from Lexis Practical Guidance – Healthcare, which provides direction to healthcare organizations and their workforce members regarding the procedure for reporting and providing...
PBMs Driving Up Prescription Drug Prices The three largest pharmacy benefit managers—CVS Health, Cigna and UnitedHealth Group—often “steer patients toward pricier drugs, charge steep markups on what would otherwise be inexpensive medicines and...
With America facing an obesity epidemic , it’s no wonder some are embracing the concept that food—simple, healthy, nutritious food—is medicine in and of itself, a philosophy that’s growing in popularity among health care providers. The...
Hospital Cost Transparency Bill Advances in PA The Pennsylvania House Health Committee approved a bill ( HB 2339 ) that would require hospitals to publish a list of the standard costs for all of their services on their website. It would also prohibit hospitals...
Get up to speed on physician compensation methodologies and the legal parameters that govern physician compensation structures. Balance productivity with cost containment, as well as productivity with cooperation, in structuring compensation arrangements between...
FDA Advisory Panel Rejects Use of MDMA-Assisted Therapy for PTSD An advisory panel for the Food and Drug Administration rejected the use of MDMA-assisted therapy for the treatment of post-traumatic stress disorder. Among other things the panelists raised concerns...
Check out Lexis Practical Guidance – Healthcare’s 12th State Law Comparison Tool (SLCT) Topic: Ambulatory Surgery Center Licensing, which covers all 50 states plus the District of Columbia. Consult this SLCT topic for information on state statutes and...
Understand the fundamentals of Washington's My Health My Data Act, Wash. Rev. Code Ann. §§ 19.373.005–19.373.900, which took full effect on March 31, 2024. Review how the state legislature defined ''consumer health data.'' Counsel...
LA County Launching Ambitious Plan to Address Medical Debt Los Angeles County’s Department of Public Health has developed an ambitious plan to address the problem of medical debt, which impacted one in ten, or about 810,000, residents of the county and...
Review statutes and regulations governing privacy and confidentiality of patient information in clinical trials involving drugs, medical devices, and other life sciences products. Counsel your healthcare organization clients on the Health Insurance Portability...
AL Enacts Bill Allowing Off-Label Medical Treatment Alabama Gov. Kay Ivey (R) signed a bill ( SB 72 )—passed unanimously by both legislative chambers—that bars the state’s Board of Medical Examiners and Medical Licensure Commission from taking...